Methods for Identifying Fragile Histidine Triad (FHIT) Interaction and Uses Thereof

ABSTRACT

Provided herein are methods and compositions for the diagnosis, prognosis and treatment of a cancer associated disorders using the Fhit gene.

CROSS-REFERENCE TO RELATED APPLICATIONS

The present invention is a divisional application of U.S. Ser. No.12/739,541, filed Feb. 25, 2011, now allowed, which claims the benefitof PCT application No. PCT/US/2008/081294 filed Oct. 27, 2008, whichclaims priority to claims the benefit of the provisional patentapplication Ser. No. 61/000,480 filed Oct. 26, 2007.

AND STATEMENT REGARDING SPONSORED RESEARCH

This invention was made with government support under NCI Grant Nos.CA77738 and CA78890. The government has certain rights in thisinvention.

BACKGROUND OF THE INVENTION

The FHIT gene encompasses the most active common fragile site atchromosome 3p14.2. Fhit expression is lost or reduced in a largefraction of most types of human tumors due to allelic loss, genomicrearrangement, promoter hypermethylation, or combinations thereof. Fhitknock-out mice show increased susceptibility to cancer development andFHIT gene therapy prevents tumors in carcinogen-exposed Fhit-deficientmice. Fhit restoration by stable transfection in cancer cells has littleeffect in vitro, unless cells are exposed to stress, including thestress of the nude mouse environment in vivo; viral-mediated Fhitrestoration, a process that simultaneously supplies stress and Fhitexpression, suppresses tumorigenesis in vivo and triggers apoptosis ofmany types of malignant cells in vitro, including lung cancer cells.

In lung hyperplastic lesions, DNA damage checkpoint genes are alreadyactivated, leading to selection for mutations in checkpoint proteins andneoplastic progression. Evidence of DNA alteration at FRA3B within FHITaccompanied the hyperplasia and checkpoint activation. Loss of FHITalleles occurs in normal appearing bronchial epithelial cells ofsmokers, prior to pathologic changes or alterations in expression ofother suppressor genes.

Fhit expression is down-regulated by exposure to DNA damaging agents andFhit plays a role in response to such agents), with Fhit-deficient cellsescaping apoptosis and accumulating mutations.

Although Fhit expression triggers apoptosis in several experimentalmodels through caspase-dependent mechanisms involving extrinsic andintrinsic apoptotic pathways, little is known about early events in thisprocess and how Fhit loss is involved in tumor initiation.

Therefore, there is a need for methods for altering the expression ofFHIT in subjects in need thereof. There is also a need for compositionsthat are useful to alter the expression of FHIT in subjects in needthereof.

SUMMARY OF THE INVENTION

In a broad aspect, there is provided methods which identify proteinsthat interact directly with Fhit to effect downstream signal pathwaysculminating in apoptosis. In one embodiment, proteins within cells werechemically cross-linked after infection of lung cancer cells withAdFHIT-His6 virus. The proteins linked to Fhit and pathways affected bythem were identified and characterized.

In another broad aspect, there is provided herein a method of diagnosingwhether a subject has, or is at risk for developing, a cancer associateddisorder, comprising measuring the level of at least fragile histidinetriad (Fhit) gene in a test sample from the subject, wherein analteration in the level of the Fhit gene product in the test sample,relative to the level of a corresponding Fhit gene product in a controlsample, is indicative of the subject either having, or being at risk fordeveloping, a cancer associated disorder.

Various objects and advantages of this invention will become apparent tothose skilled in the art from the following detailed description of thepreferred embodiment, when read in light of the accompanying drawings.

BRIEF DESCRIPTION OF THE DRAWINGS

The patent or application file contains at least one drawing executed incolor. Copies of this patent or patent application publication withcolor drawings will be provided by the Office upon request and paymentof the necessary fee.

FIGS. 1A-1H—Subcellular localization of Fhit protein in cytosol andmitochondria:

FIG. 1A, immunofluorescence microscopy was performed with anti-Fhitserum on H1299 cells (D1) treated with PonA for 48 h; Fhit staining wasdetected using fluorescein isothiocyanate (green)-conjugated anti-rabbitimmunoglobulin (IgG); Mito-Tracker Red staining, which identifiesmitochondria, shows partial colocalization with Fhit. The yellow coloron the fourth panel (lower right) shows the co-localizations points.

FIG. 1B, immunoelectron microscopy of A549 AdFHIT (left) orAdFHIT-His₆-infected cells (right) performed with a penta-His antibodyshows Fhit mitochondrial localization (right); A549 cells infected withAdFHIT served as control and show only a few scattered grains (leftpanel).

FIG. 1C, immunoblot analysis of AdFHIT-infected A549 subcellularfractions using anti-Fhit indicates Fhit protein distribution in thecytosol, membranes, cytoskeleton, and mitochondria.

FIG. 1D, immunoblot analysis of proteins from mitochondria of A549 cellsinfected with AdFHIT-His₆ after treatment with sodium carbonate (FIG.1E) and increasing concentrations of digitonin (FIG. 1F) indicates thatFhit is mainly distributed in mitochondrial matrix; filters were probedwith Fhit and CoxIV antisera; lanes in FIG. 1F represent supernatantsafter treatment with 0, 0.10, 0.15, and 0.20% digitonin.

FIG. 1G, immunoblot analyses of subcellular fractions from MKN74/E4 andMKN74/A116 cells (stably expressing exogenous Fhit), and FIG. 1H, HCT116(an endogenous Fhit-positive colon cancer cell line) using anti-Fhit,confirms Fhit mitochondrial localization; GAPDH and CoxIV antiseraserved as controls.

FIGS. 2A-F—Exogenous and endogenous Fhit forms a complex with endogenousHsp60, Hsp10, and Fdxr proteins:

FIGS. 2A, 2B, 2C, Protein complexes, isolated with recombinant Fhit-His₆protein, were separated on polyacrylamide gels and probed with antiseraagainst Hsp60 (FIG. 2A), Hsp10 (FIG. 2B), and Fdxr (FIG. 2C); in thelatter panel, prepared after mitochondria isolation, it is shown thatFhit recruits Fdxr in the mitochondria in a time-dependent manner.Filters were loaded with protein isolated after infection of A549 cellswith AdFHIT-His₆ with or without DSP.

FIG. 2D, coimmunoprecipitation with anti-Hsp60 after infection of A549cells with AdFHIT; filters were probed with Hsp60, Fhit, and Hsp10antisera.

FIG. 2E, A549 cells were co-transfected with the V5-tagged FDXR gene andFHIT plasmids; immunoprecipitation was with anti-V5 and detection withFdxr and Fhit antisera.

FIG. 2F, immunoprecipitation and immunoblot detection of endogenousinteractor proteins (Fdxr and Hsp10) from DSP-treated Fhit-positiveHCT116 cells. Filters were probed with antisera against each targetprotein. Endogenous Fhit co-precipitated with Hsp10 and Fdxr.

FIGS. 3A-D—Knockdown of Hsp60/Hsp10 reduces the level of Fhit in themitochondria:

FIG. 3A, nickel-H6 pull down experiment of A549 cells AdFHIT-His₆infected on subcellular fractions (Cytosol and Mitochondria) using H6antibody; lysates were incubated with nickel beads to isolate the DSPcross-linked Fhit-His₆ protein complex and loaded on a 4-20%polyacrylamide gel. 24 h after infection, the Hsp60-Fhit complex waspresent in both compartments; 48 h after infection, the complex wasdetectable again in both compartments and the increase of Fhit complexproteins appears related to the increase of Fhit protein at 48 h afterAdFHIT-His₆ infection, with a slight increase in the mitochondria(densitometry analysis on input samples was performed).

FIG. 3B, immunoblot analysis of Hsp60, Hsp10, Fhit, and GAPDH inFhit-positive D1 cells after 72 h of Hsp60/Hsp10 silencing showing Fhit,Hsp60, and Hsp10 levels after a CHX chase (30 μg/ml) for 1-12 h.

FIG. 3C, immunoblot analysis of cytosol/mitochondrial protein fractionsof A549 cells 72 h after transfection with Hsp60 and Hsp10 siRNAs and 24h after AdFHIT infection at m.o.i. 1, with Hsp60, Hsp10, Fhit, GAPDH,and CoxIV antisera. Hsp60/10 silencing does not appear to affect theFhit cytosolic level, but is associated with a decrease of Fhit in themitochondrial fraction. Scrambled (Scr) siRNAs were used as controls.

FIG. 3D, subcellular fractionation and immunoprecipitation of“endogenous” Fhit complex proteins. PonA-induced D1 and E1 cells, withand without peroxide treatment, were fractionated into cytosol andmitochondria and subcellular fractions assessed for the presence of Fhitand interactors (left side) at 48 h after induction; 25 μg of proteinswere loaded per lane. Endogenous Hsp60 co-precipitated Fhit and Fdxr.

FIGS. 4A-F—Fhit expression induces intracellular ROS generation aftertreatment of cells with peroxide:

FIG. 4A, fluorescence-activated cell sorter (FACS) analysis for ROSassessment in A549 cells 48 h after transfection with FHIT plasmid, withand without a 5-h H₂O₂ treatment. Empty vector-transfected cells servedas control. Intracellular superoxide was determined according to thefluorescence of ethidium as a result of oxidation of hydroethidine byO₂. M2 refers to the fraction of ROS positive cells.

FIG. 4B, FACS analysis for ROS assessment by the fluorescence producedfrom the oxidation of hydroethidine in D1 and E1 cells; 48 h after PonAtreatment, cells were treated for 5 h with 0.5 and 1.0 mM H₂O₂ andoxidative stress was measured; % positive refers to the fraction offluorescent cells, indicating ROS. These experiments were repeated threetimes with similar results.

FIG. 4C, increased green fluorescent DCF signal in H1299 Fhit-expressingcells (D1) under stress conditions. Cells were incubated with2′,7′-dichlorodihydrofluorescein diacetate, a ROS indicator that can beoxidized in the presence of ROS to the highly green fluorescent dye DCF,at 48 h after Fhit induction and after a 5-h H₂O₂ treatment of E1 and D1cells (magnification ×40).

FIG. 4D, MTS cell viability assays were performed on E1 and D1 cells.Cells were treated with PonA for 48 h and then with increasingconcentrations of H₂O₂ (0.125, 0.25, and 0.5 mM) for 4 h. Analysis wasat 24 h after H₂O₂ treatment. Columns report the average of fourexperiments±S.E. Each point was measured in quadruplicate and standarddeviation calculated; p<0.05 was considered significant.

FIG. 4E, FACS analysis of D1 and E1 cell cycle kinetics at 48 h afteroxidative stress treatment. Cells were treated with PonA for 48 h andthen with increasing concentrations of H₂O₂ (0.25 and 0.5 mM) for 4 h.Analysis was at 48 h after H₂O₂ treatment. All experiments wereperformed twice in triplicate.

FIG. 4F, colony formation assay of H1299/D1 and H1299/E1 cells after 5mM PonA stimulation and a 5-h H₂O₂ treatment at the indicatedconcentrations.

FIGS. 5A-H.—Apoptosis triggered by Fhit viral transduction can bemediated by its interaction with Fdxr:

FIG. 5A, immunoblot analysis with antisera against Fdxr, Fhit, andGAPDH. Proteins were extracted from E1 (control) and D1 cells 48 h aftertreatment with PonA.

FIG. 5B, immunoblot analysis of Fdxr expression in D1 and E1 cells aftera 4-h treatment with 25 μM MG132, a proteasome inhibitor. GAPDHdetection shows equal protein loading.

FIG. 5C, immunoblot analysis of Fdxr, Fhit, and GAPDH in D1, expressingFhit, and E1 cells, showing Fdxr level after CHX chase (30 μg/ml) for4-12 h. Densitometry based on GAPDH levels shows enhanced stability ofFdxr in the presence of Fhit.

FIG. 5D, FACS analysis of FDXR^(+/+/+) and FDXR^(+/−/−) cell cyclekinetics after infection with AdFHIT m.o.i. 50 and 100. The experimentwas performed 48 h after infection and was repeated three times withsimilar results. Profiles of AdGFP-infected cells were similar to thoseof non-infected cells (not shown).

FIG. 5E, immunoblot analysis showing expression of Fdxr, Fhit, and GAPDHafter infection of FDXR^(+/+/+) and FDXR^(+/−/−) with AdFHIT m.o.i. 50and 100. Proteins were extracted 48 h after infection.

FIG. 5F, real-time RT-PCR analysis for FDXR expression at 48 h afterAdFHIT m.o.i. 50. The PCR product was normalized to GADPH and Actinexpression and each point was repeated in quadruplicate; differencesbetween control and Fhit positive samples were not significant.

FIG. 5G, caspase 3 and Parp1 activation. Immunoblot analysis, usingFhit, caspase 3, Parp1 antisera, of total cell lysates from HCT116FDXR^(+/+/+) cells 48, 72, and 96 h after infection with AdFHIT andAdGFP at m.o.i. 50. GAPDH and CoxIV served as internal protein markers.

FIG. 5H, immunoblot analysis, using Fhit and cytochrome c antisera, ofcytosol/mitochondria fractions from HCT116 FDXR^(+/+/+) cells 48, 72,and 96 h after infection with AdFHIT and AdGFP at m.o.i. 50. GAPDH andβ-actin served as internal protein markers.

FIGS. 6A-E—Fhit enhances the sensitivity of cancer cells to paclitaxeland cisplatin:

FIGS. 6A, 6B, MTS assays performed on E1 and D1 cells. Cells weretreated with PonA for 48 h and then treated with paclitaxel (50-500ng/ml) (FIG. 6A) or cisplatin (0.05-0.2 mM) (FIG. 6B) for 24 or 48 h.Bars report the average of four experiments±S.E. Each point was measuredin quadruplicate and standard deviation calculated; asterisks next tobrackets in FIG. 6A and FIG. 6B indicate statistically significantdifferences in drug response of D1 and E1 cells, p<0.05.

FIG. 6C, FIG. 6D, the graphs show representative results of flowcytometry analyses of E1 and D1 cells. Cells were treated with PonA for48 h and then with paclitaxel (50-500 ng/ml) (FIG. 6C) or cisplatin(0.05-0.2 mM) (FIG. 6D). Each data point was measured in triplicate at24, 48, and 72 h (data shown for 48 h).

FIG. 6E, caspase 3 and Parp1 cleavage: immunoblot analyses, using Fhit,caspase 3, and Parp1 antisera, of total cell lysates from PonA-inducedD1 cells after 48 h of treatment with paclitaxel (50 and 100 ng/ml) orcisplatin (0.05 and 0.1 mM). GAPDH served as loading control.

FIG. 7—TABLE 1 Candidate Fhit protein partners isolated through massspectrometry. Proteins selectively captured in the A549AdFHIT-H₆-infected cells sample. Amino acid sequence of identifiedpeptides, Mascot scores, and protein sequence coverage are listed.

FIGS. 8A-8C—Ad-His6 biological activity is comparable to AdFHIT:

FIG. 8A, Western blot analysis of A549 cells infected with Ad-His6, MOI20. Fhit-His protein was detected by antipentaHis and antiFhit serum.Both Ad FHIT and Ad-His6 carry a GFP cDNA regulated by a CMV5 promoterthrough an internal ribosome entry sequence downstream of FHIT.γ-tubulin was used to normalize sample loading.

FIG. 8B, How cytometry analysis of A549 cells 96 hr after infection withAd-His6, MOI 15. Upper panel indicates the subG1 DNA content of infectedcells (experiment repeated thrice; average values of subG1 fractions22%+/−4.3 for Ad FHIT, 29%+/−5 for Ad-His6; the difference is notstatistically significant; lower panel shows percentages of cells withmature caspase-3, an indication of apoptosis. The extent of cell deathin A549 cells infected with Ad-His6 is comparable to the result obtainedafter infection with Ad FHIT.

FIG. 8C, In vivo cross-linking of Fhit-His6. Silver staining of gel withcell lysates after His6 pull down and cross-link reversal conditions,separated by 4-20% gradient SDS-PAGE. Internal negative controlsincluded His6 pull down of Ad FHIT infected cells (cross-linked, CL) andAd-His6 infected cells (not cross-linked, NT).

FIGS. 9A-9F. Initial validation of candidate Fhit protein partnersidentified through nanobore LC-MS/MS. Selected ion chromatograms (SIC)for AdFHIT-His6 and control samples are shown. The six SICs pairs reportion currents of the six following m/z values: 1) 672.8 (peak atretention time 30 min. was identified as tryptic peptide TVIIEQSWGSPK[SEQ ID NO: 5] belonging to Hsp60), 2) 685.4 (peak at retention time 32min. identified as tryptic peptide LGPALATGNVVVMK [SEQ ID NO: 22]belonging to Aldh2), 3) 617.3 (peak at retention time 39 min. identifiedas tryptic peptide IFGVTTLDIVR [SEQ ID NO: 10] belonging to Mdh), 4)658.4 (peak at retention time 26 min. identified as tryptic pep tideVLQATVVAVGSGSK [SEQ ID NO: 19] belonging to Hsp10), 5) 551.7 (peak atretention time 28 min. identified as tryptic peptide EIDGGLETLR [SEQ IDNO: 15] belonging to Etfb), 6) 598.3 (peak at retention time 23 min.identified as tryptic peptide FGVAPDHPEVK [SEQ ID NO: 23] belonging toFdxr). Peptides of interest, indicated by red arrows, are exclusivelypresent in Ad-His6 sample.

FIG. 10—TABLE 2, Fhit induces generation of ROS in MKN74 gastric cancercells. ROS assessment was performed with MKN74A116, a human gastriccancer cell line carrying a p53 mutant allele and expressing exogenousFhit; Fhit-negative MKN74E4 cells were used as a control. To induce ROSgeneration, we treated MKN74 cells for 5 hr with 0.5, 1.0 and 2.0 mMH₂O₂ Results indicate a significantly higher rate of ROS generation incells expressing exogenous Fhit compared to controls; toxicity wasobserved in Fhit-expressing cells after 2 mM H₂O₂ treatment. Numbersreport the average of four experiments±S.E.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT

It is to be understood that both the foregoing general description andthe following detailed description are exemplary and explanatory onlyand are not intended to limit the scope of the current teachings. Inthis application, the use of the singular includes the plural unlessspecifically stated otherwise.

The use of the word “a” or “an” when used in conjunction with the term“comprising” in the claims and/or the specification may mean “one,” butit is also consistent with the meaning of “one or more,” “at least one,”and “one or more than one.”

Also, the use of “comprise”, “contain”, and “include”, or modificationsof those root words, for example but not limited to, “comprises”,“contained”, and “including”, are not intended to be limiting. The term“and/or” means that the terms before and after can be taken together orseparately. For illustration purposes, but not as a limitation, “Xand/or Y” can mean “X” or “Y” or “X and Y”.

The term “combinations thereof” as used herein refers to allpermutations and combinations of the listed items preceding the term.For example, “A, B, C, or combinations thereof” is intended to includeat least one of: A, B, C, AB, AC, BC, or ABC, and if order is importantin a particular context, also BA, CA, CB, ACB, CBA, BCA, BAC, or CAB.

As used herein interchangeably, “gene product,” “DNA” and “gene,” areused herein interchangeably.

The following abbreviations may be used herein: GAPDH,glyceraldehyde-3-phosphate dehydrogenase; DSP, dithiobis(succinimidylpropionate); LC-MS/MS, liquid-chromatography tandem mass spectrometry;Fdxr, ferredoxin reductase; PonA, ponasterone A; m.o.i., multiplicity ofinfection; ROS, reactive oxygen species; FU, 5-fluorouracil; DCFH-DA,dichlorofluorescein-diacetate; DCF, 2′,7′-dichlorofluorescein; CHX,cycloheximide; siRNA, small interfering RNA; RT, reverse transcriptase;MTS,3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium.

The section headings used herein are for organizational purposes onlyand are not to be construed as limiting the described subject matter inany way. All literature and similar materials cited in this application,including patents, patent applications, articles, books, treatises, andinternet web pages are expressly incorporated by reference in theirentirety for any purpose. In the event that one or more of theincorporated literature and similar materials defines or uses a term insuch a way that it contradicts that term's definition in thisapplication, this application controls.

Fhit protein is lost in most cancers, its restoration suppressestumorigenicity, and virus-mediated FHIT gene therapy induces apoptosisand suppresses tumors in preclinical models. Protein cross-linking andproteomics methods are used to characterize a Fhit protein complexinvolved in triggering Fhit-mediated apoptosis. The complex includesHsp60 and Hsp10 that mediate Fhit stability and may affect import intomitochondria, where it interacts with ferredoxin reductase, responsiblefor transferring electrons from NADPH to cytochrome P450 via ferredoxin.Viral-mediated Fhit restoration increases production of intracellularreactive oxygen species, followed by increased apoptosis of lung cancercells under oxidative stress conditions; conversely, Fhit-negative cellsescape apoptosis, carrying serious oxidative DNA damage that maycontribute to an increased mutation rate. Characterization of Fhitinteracting proteins has identified direct effectors of theFhit-mediated apoptotic pathway that is lost in most cancers throughloss of Fhit.

Earlier searches for Fhit-interacting proteins pointed to severalcandidate proteins, none of which we could confirm as interactors byco-immunoprecipitation experiments, including Ubc9, α-tubulin, and Mdm2.To readdress the question of Fhit protein interactors, the following wasused: adenovirus-transduced Fhit-His₆ for Fhit complex purificationafter cross-linking, and Fhit-linked proteins, Hsp60, Hsp10, and Fdxr,were identified; subcellular location of these proteins suggested thatmitochondria might be foci of Fhit activity. Hsp “stress proteins” asmolecular chaperones perform functions such as protein translocation,folding, and assembly. The finding that Fhit interacts with Hsp60/Hsp10after AdFHIT infection suggests that the Hsp complex may be importantfor Fhit stability, and possibly for its correct folding to import itinto mitochondria, prior to activation of the apoptotic pathway, asuggestion we investigated by knocking down expression of Hsp60, Hsp10,or both in AdFHIT-infected lung cancer cells; Fhit stability wasassessed after CHX chase in H1299 D1 cells, the lung cancer cell lineexpressing inducible Fhit. The level of Fhit protein in isolatedmitochondria after knockdown of both Hsp60 and -10 was reduced,strengthening the proposal that Fhit-Hsp60/10 interaction is involved inFhit stabilization and/or in correct folding for importation intomitochondria.

Targeted disruption of the FDXR gene in HCT116 colon cancer cells showedthat it was essential for viability; reduction of the gene copy numberresulted in decreased sensitivity to 5-fluorouracil-induced apoptosisand FDXR is a target gene of the p53 family. Overexpression ofFdxr-sensitized colon cancer cells to H₂O₂, 5-fluorouracil, anddoxorubicin-induced cell death, indicating that Fdxr contributes top53-mediated apoptosis through generation of oxidative stress inmitochondria. Thus, activated p53 induces apoptosis in response tocellular stresses in part through ROS, and simultaneously p53 increasestranscription of the FDXR gene, which in turn enhances p53 function byincreasing ROS-induced apoptosis.

Now shown herein is the presence of Fhit in the mitochondrial fraction;when Fhit is overexpressed or Fhit-expressing cells are stressed, Fhitcan protect Fdxr from proteosomal degradation, leading to an increase inthe Fdxr protein level, which is associated with generation of ROS andfollowed by apoptosis. Fhit does not affect the FDXR transcriptionallevel but may affect stability of the protein. In H1299 cells, missingboth Fhit and p53, Fdxr overexpression increases sensitivity toROS-induced cell death, and H1299 cells expressing inducible Fhit or p53are sensitive to ROS-induced cell death; cancer cells missing Fhit, p53,or both would lack ways to increase Fdxr expression, and would be lesssensitive to oxidative damage and would survive.

Discovery of the mitochondrial function of Fhit in apoptosis throughinteraction with Fdxr now extends functional parallels of the importanttumor suppressors, Fhit and p53, lost sequentially in most cancers andinvolved in response to DNA damage, and illuminates their differences,with p53 acting as a transcriptional and Fhit a post-transcriptionalFdxr regulator. Delineation of direct downstream effectors of the Fhitsuppressor pathway will lead to mechanistic studies of Fhit functionthat may influence preventive and therapeutic strategies to activate theFhit pathway.

The finding that ROS generation is crucial for Fhit-mediated apoptosisemphasizes the importance of Fhit loss as a negative prognostic factorin various clinical settings; for example, assessment of Fhit status inpreneoplastic or neoplastic conditions may be predictive of responses toantioxidant treatments.

To identify proteins that interact with Fhit to effect downstreamapoptotic pathways, the inventors herein cross-linked proteins withincells after viral-mediated Fhit overexpression in lung cancer cells, andcharacterized proteins associated with Fhit and the pathways affected bythem.

Results.

Isolation of a Fhit Protein Complex—To identify Fhit-interactingproteins, we generated an adenovirus carrying FHIT cDNA modified at its3′ end with a sequence encoding a His₆ epitope tag (AdFHIT-His₆). Thebiological activity of this tagged Fhit protein expressed in A549 cellswas comparable with wild-type Fhit activity (FIG. 8).

A549 lung cancer-derived cells, which are susceptible to Fhit-inducedapoptosis (10), were infected with AdFHIT or AdFHIT-His₆ and treatedwith DSP, a cross-linker that crosses membranes and fixes proteins incomplex in vivo. Cells were lysed and proteins isolated with nickelbeads avid for the His₆ epitope tag. Purified proteins were treated withdithiothreitol to cleave DSP and dissociate the complex, and digested bytrypsin; protein constituents were identified by LC-MS/MS (FIG. 7—Table1 and FIG. 9).

Six proteins were identified, all with mitochondrial localization: Hsp60and 10, ferredoxin reductase (Fdxr), malate dehydrogenase,electron-transfer flavoprotein, and mitochondrial aldehyde dehydrogenase2; Hsp60 and Hsp10 are also distributed in the cytosol.

Fhit Subcellular Localization—Because candidate Fhit interactors aremitochondrial proteins, the inventors herein determined if Fhit, whichlacks a mitochondrial localization signal, localized in theseorganelles. Fhit negative H1299 lung cancer cells carrying an inducibleFHIT cDNA (D1 cells) were treated with the inducer, PonA for 48 h andindirect immunofluorescence detection of Fhit subcellular location wasassessed using anti-Fhit serum and MitoTracker Red 580, a marker ofmitochondria; Fhit fluorescent signal (green staining, FIG. 1A) wascytoplasmic and partly co-localized (yellow staining, FIG. 1A, lowerright) with MitoTracker Red dye, indicating that exogenous Fhitlocalized to mitochondria and cytosol. Anti-Fhit specificity wasconfirmed by absence of green fluorescence in the Fhit negative H1299clone E1 cells (not shown). To confirm mitochondrial localization, A549cells infected with AdFHIT-His₆ or AdFHIT at m.o.i. 20 were examined byimmunoelectron microscopy 48 h later, by anti-pentaHis staining;FhitHis6-transduced cells demonstrated significant numbers of goldparticles in mitochondria (FIG. 1B, right panel), whereasAdFHIT-transduced cells showed sparse reactivity (FIG. 1B, left panel).

To assess Fhit submitochondrial localization, mitochondria were purifiedfrom A549 cells infected with AdFHIT m.o.i. 1, as described above. Thesodium carbonate procedure is a nondestructive approach that allowseffective release in the supernatant of both soluble proteins andperipheral membrane proteins from intracellular membranes after inducingthe generation of open sheets of membranes; furthermore, it allowsrecovery of integral proteins with the membranes (pellet)

FIG. 1E shows that Fhit was only detectable in the soluble fraction. Tofurther define Fhit submitochondrial localization, mitochondria weretreated with 0.10 and 0.15% digitonin to selectively disruptmitochondrial outer membrane, releasing proteins contained in theintermembrane space and the matrix; as shown in FIG. 1F, gradualdisruption of outer and inner membranes releases increasing amounts ofFhit protein, suggesting that Fhit is mainly distributed either at theluminal side of the inner membrane or in the matrix of mitochondria.Mitochondrial localization was confirmed in gastric cancer-derivedMKN74A116 cells stably expressing exogenous Fhit and in HCT116 coloncancer cells expressing endogenous Fhit (FIG. 1G and FIG. 1H).

Fhit Interacts with Hsp60, Hsp10, and Fdxr—Among candidate interactorproteins, the inventors focused on Hsp60 and Hsp10 as possiblechaperonins and on Fdxr, a mitochondrial respiratory chain proteintransactivated by p53 and involved in responses to therapeutic drugs. Tovalidate interactions, A549 cells were infected with AdFHIT orAdFHIT-His6 at m.o.i. 20, with or without DSP. Fhit complexes werepurified through the His₆ tag and co-purified proteins were detectedwith antisera against Hsp60, Hsp10, and Fdxr; Hsp60 and Fdxr weredetected only in lysates of cells exposed to DSP (FIG. 2A and FIG. 2C),whereas Hsp10 was also detectable without cross-linking (FIG. 2B).

A time course experiment after infection showed recruitment of Fdxr byFhit (FIG. 2C); also, endogenous Hsp60 co-immunoprecipitated Fhit andHsp10 in the absence of DSP (FIG. 2D).

To verify specificity of interactions we generated an FDXR cDNAexpression plasmid with a 3′ V5 epitope tag. A549 cells wereco-transfected with FDXR-V5 and FHIT plasmids, and proteins wereprecipitated with monoclonal anti-V5; co-precipitated Fhit wasdetectable only after DSP cross-linking (FIG. 2E).

To determine whether these proteins also interact with endogenous Fhit,the inventors immunoprecipitated each endogenous candidate interactorprotein from DSP-treated Fhit-positive HCT116 cells and looked forco-precipitation of endogenous Fhit (FIG. 2F).

Endogenous Fhit co-precipitated with Hsp10 and Fdxr, confirming thepresence of endogenous Fhit in mitochondria and its interaction withendogenous chaperones and respiratory chain protein in the absence ofstress.

Hsp60/10 Interaction Affects Fhit Stability and/or MitochondrialImport—Hsp60 and -10 are molecular chaperones found in complex and maybe important for folding and import of proteins into mitochondria. Theinventors herein now believe that the Hsp60/10 complex was responsiblefor Fhit correct folding and mitochondrial addressing.

To investigate the location of these interactions, A549 cells wereinfected with AdFHIT-His₆ m.o.i. 5 and protein lysates were collectedfrom cytosol and mitochondrial fractions after cross-linking. Complexeswere isolated by Fhit-H6-nickel pull down, separated on a polyacrylamidegel, and filters probed with Hsp60 and Fhit antisera. At 24 and 48 hafter infection interaction with Hsp60 is observed in the cytosol andmitochondria (FIG. 3A) commensurate with the increase in Fhit expressionat these times (Input), as shown in FIG. 3A.

To determine whether the Fhit-Hsp60/10 interaction is important for thestability of the Fhit protein, H1299 with inducible Fhit expression (D1cells) were transfected with Hsp60 and Hsp10 siRNAs and 72 h aftertransfection a CHX chase was performed at 1, 6, and 12 h and Fhitprotein expression was assessed and compared with cells transfected withthe scrambled sequence.

As shown in FIG. 3B at 6 and 12 h of CHX after Hsp60 and Hsp10silencing, there is a strong reduction of Fhit expression (from 1 to 0.4at 1 and 12 h, respectively). Next, Hsp60 and 10 siRNAs were transfectedinto A549 cells individually or in combination; 24 h later, cells wereinfected with AdFHIT m.o.i. 1 and cytosol and mitochondria werefractionated 24 h later. After silencing both Hsps, the Fhit level wasunaffected in the cytosol but reduced in mitochondria compared withcontrol (FIG. 3B), showing that the Hsp60/10 complex may mediate virallytransduced Fhit stabilization and mitochondrial localization. It is alsotrue that if Hsp60 and Hsp10 are involved in Fhit stability after Fhitviral transduction, the cellular compartment with less Fhit would beaffected by a decrease in Fhit stability. The inventors herein alsoexamined the Fhit complex in H1299 D1 cells expressing inducible Fhit,with Fhit negative E1 cells as control; 48 h after Fhit induction in D1cells (FIG. 3C, left panel), distribution of the Fhit complex proteinswas similar in the cytosol and mitochondria of D1 and E1 cells, with andwithout H₂O₂.

Hsp60 was immunoprecipitated from total cell lysates of these cells at48 h after PonA induction, with or without H₂O₂, and coprecipitated Fhitand Fdxr (FIG. 3C, right panel). Induction of Fhit expression in D1cells does not cause biological changes in vitro; thus the Fhit complexdoes not form as a consequence of apoptosis. A time course experimentwas performed in D1 cells after PonA-induced Fhit expression, with andwithout stress conditions, to determine whether there were biologicalchanges in Fhit protein interactors. The co-inventors did not detectchanges in localization after Fhit expression.

Fhit Induces Generation of Reactive Oxygen Species (ROS)—Fdxr, a 54-kDaflavoprotein, is located on the matrix side of the inner mitochondrialmembrane, and is responsible for transferring electrons from NADPH, viathe single electron shuttle ferredoxin-cytochrome P450, to substrates.Under substrate-limiting conditions, electrons leak from this shuttlingsystem and generate ROS. Fdxr mediates p53-dependent,5-fluorouracil-induced apoptosis in colorectal cancer cells, throughgeneration of ROS, potent intracellular oxidants, and regulators ofapoptosis.

The inventors herein then investigated determine whether ROS productioncould be involved in Fhit-mediated apoptosis. Overexpression of Fdxrincreases sensitivity of tumor cells to apoptosis on H₂O₂ treatment,through ROS production. The inventors examined ROS production in A549cells, with and without H₂O₂ treatment, after transient transfectionwith the FHIT expression plasmid. Intracellular superoxide was assessedby measuring ethidium fluorescence, as a result of oxidation ofhydroethydine by superoxide. Intracellular superoxide was measured 5 hafter stimulation with increasing concentrations of H₂O₂. ROS generationwas ˜3 times higher (16.7 versus 5.4% at 0.5 mM H₂O₂ and 18.8 versus7.7% at 1.0 mM H₂O₂) in FHIT-transfected cells. 2 mM H₂O₂ was toxic toFhit-expressing but not to non-expressing cells (FIG. 4A).

A similar experiment was performed with p53 and Fhit negative lungcancer-derived H1299 D1 and E1 clones carrying PonA-inducible FHIT andempty vector expression plasmids, respectively; the cells were treatedwith 5 μM PonA and at 48 h treated with 0.5 and 1.0 mM H₂O₂; the %ROS-positive cells was higher in Fhit-positive D1 cells than in E1control cells (20 versus 3.5% at 0.5 mM H₂O₂, and 78 versus 25% at 1.0mM H₂O₂, respectively) (FIG. 4B).

These results were paralleled by experiments with human gastriccancer-derived cells, MKN74A116 (FIG. 10), which express mutant p53 andstably express exogenous Fhit.

To further study the generation of ROS after Fhit reconstitution duringoxidative stress, DCFH-DA was used to measure the redox state ofFhit-overexpressing cells. Peroxidases, cytochrome c, and Fe²⁺ canoxidize DCFH-DA to fluorescent 2′,7′-dichlorofluorescein (DCF) in thepresence of H₂O₂; thus, DCF indicates H₂O₂ levels and peroxidaseactivity. Increased DCF fluorescence was detected in D1 cells comparedwith E1 cells under stress conditions (FIG. 4C).

The decreased cell viability after H₂O₂ treatment in Fhit-expressingcells was also assessed by an MTS cytotoxicity assay 24 h after H₂O₂treatment. H₂O₂ treatment caused reduced cell viability or growth arrestin both E1 and D1 cells, but this phenotype was more pronounced in D1cells (FIG. 4D).

To determine whether H₂O₂ treatment with or without Fhit could affectcell viability or cell cycle kinetics we performed flow cytometry (FIG.4E); when Fhit was present under stress conditions there was aconsistent increase of G₂/M arrest at 48 h after 0.25 and 0.5 mM H₂O₂treatment, 45.5 and 49.5%, respectively, compared with 27.5 and 29% ofE1 cells under the same conditions.

To assess if the G₂/M arrest could affect long-term viability of thecells, a colony assay was performed (FIG. 4F). No colonies were detectedin Fhit-expressing cells after exposure to 0.25 mM or higherconcentrations of H2O2.

Fhit-induced ROS Generation Is Fdxr-dependent—To evaluate the role ofFdxr in Fhit-mediated ROS generation, the inventors examined the Fdxrlevel in D1 cells after Fhit induction and observed a 2.4-fold increaseof its expression compared with E1 cells (FIG. 5A), an increase that wasnot due to increased transcription as determined by real time RT-PCR(FIG. 5F).

The inventors next measured the Fdxr level, with or without Fhitexpression, in the presence of MG132, an inhibitor of proteasomedegradation; 4 h after MG132 treatment a significant increase of Fdxrprotein was observed in D1 cells compared with E1 cells (FIG. 5B),showing that Fhit protects Fdxr from proteasome degradation.

The rate of Fdxr degradation in the presence or absence of Fhit proteinwas evaluated by the 4-12-h CHX chase (FIG. 5C); the rate of Fdxrdegradation was higher in Fhit-negative E1 cells (declining from 1 to0.3) compared with D1 cells, with no significant decrease. Thus, theinventors herein now believe that Fhit prevents destabilization of theFdxr protein by protecting it from proteasome degradation.

HCT116 colon cancer cells, which express endogenous wild-type p53 andFhit and carry three FDXR alleles (FDXR^(+/+/+)), and HCT116FDXR^(+/−/−) cells with two alleles knocked-out (28), were used todetermine whether AdFHIT-induced apoptosis is influenced by the Fdxrexpression level; the FDXR null condition was not compatible withviability.

These cells were infected with AdFHIT m.o.i. 50 or 100 and assessed forapoptosis at 48 and 72 h post-infection. Wild-type HCT116 cells(FDXR^(+/+/+)) were susceptible to exogenous Fhit-mediated apoptosis ina dose-dependent manner, as the fraction of sub-G₁ cells was 12.1 and18.8% at m.o.i. 50 and 100, respectively; FDXR^(+/−/−) cells wererefractory at 48 and 72 h (data not shown) to Fhit-induced cell death,with a sub-G₁ population of 4.7 and 4.3% at m.o.i. 50 and 100 (FIG. 5D).

Fhit overexpression led to increased Fdxr protein levels in bothFDXR^(+/+/+) and FDXR^(+/−/−) cells (FIG. 5E) and FDXR^(+/−/−) cellswere committed to Fhit-mediated apoptosis by 72 h after infection.

The Fhit-mediated increase of Fdxr expression was not at thetranscriptional level, as determined by real time RT-PCR (FIG. 5F) andthus not related to the p53 transcriptional activation.

To better determine whether the sub-G₁ peak detected in FDXR^(+/+/+)cells after AdFHIT infection was related to apoptosis induction, a timecourse experiment at 48, 72, and 96 h for caspase 3 and Parp1 cleavagewas performed and compared with AdGFP-infected cells (FIG. 5G).

Caspase 3 cleavage and related Parp1 cleavage were observed at 48, 72,and 96 h after virus-mediated Fhit overexpression. The time course ofcytochrome c release from mitochondria into cytosol was assessed afterinfection of HCT116 cells with AdFHIT m.o.i. 100 (FIG. 5H); progressivecytochrome c release was observed in HCT116 FDXR^(+/+/+) cells comparedwith GFP-infected cells, indicating initiation of the apoptotic cascadein Fhit overexpressing HCT116 FDXR^(+/+/+) cells.

Fhit Enhances ROS-related Effects of Chemotherapeutic Agents—Generationof intracellular ROS is an early event in the apoptosis of lung cancercells induced by treatment with paclitaxel. The inventors testedpaclitaxel on H1299 D1 and E1 cells with or without induced Fhitexpression. After induction of Fhit expression, D1 cells were moresensitive to paclitaxel than E1 cells (FIG. 6A) as measured by the MTScell viability test. Cisplatin induces Fdxr expression and thecisplatin-induced apoptotic pathway is associated with ROS generation.

Fhit expressing D1 cells were more sensitive than E1 cells to cisplatin,measured by MTS assay at 24 and 48 h (FIG. 6B).

To examine cell viability after drug treatment, we performed flowcytometry analysis (FIG. 6, FIG. 6C and FIG. 6D); PonA-induced D1 and E1cells treated with increasing paclitaxel concentrations (50-500 ng/ml)showed increasing sub-G₁ populations at 48 h: 9.6, 36, and 40%,respectively, for D1 cells compared with 4, 16.7, and 30% of E1 cells(FIG. 6C).

Similarly, increasing cisplatin concentrations (0.05-0.2 mM) led toincreased sub-G₁ populations at 48 h: 5, 16.2, and 30%, respectively, inD1 cells, compared with 2.3, 7, and 14.6% of E1 cells (FIG. 6C).

At 24 and 72 h (data not shown) increased sub-G₁ populations in D1compared with E1 cells were also detected. To determine whether thesub-G₁ fractions of D1 cells represented apoptotic cells, lysates wereprepared from drug-treated cells at 48 h and immunoblot analysisperformed for caspase 3 and Parp1 cleavage (FIG. 6D).

Activated caspase 3 and related Parp1 cleavage was observed afterpaclitaxel (50 and 100 ng/ml) and cisplatin (0.05 and 0.1 mM) treatmentscompared with untreated cells (Ctrl). The inventors herein now believethat Fhit expression increases sensitivity to oxidative injury throughparticipation with Fdxr in ROS generation.

EXAMPLE I

Materials and Methods

Cells, Vectors, and Antisera—A549, H1299, MKN74-E4, and A116, and HCT116cells were maintained in RPMI 1640 medium plus 10% fetal bovine serumand penicillin/streptomycin (Sigma). HEK293 cells (Microbix) used forpreparation of recombinant adenoviruses were cultured in Dulbecco'smodified Eagle's medium plus 10% fetal bovine serum andpenicillin/streptomycin. AdFHIT-His6 virus was prepared as described inExample II herein. [His6—SEQ ID NO: 32] [penta-His—SEQ ID NO: 33].

Full-length FDXR was amplified from human brain cDNAs (Clontech),subcloned into the pcDNA3.1/V5-HisTOPO TA vector (Invitrogen) andsequenced; details are as described under supplemental Methods. Cellswere transfected using Lipofectamine™ (Invitrogen) following themanufacturer's directions.

Western Blot Analysis—Immunoblot analyses were performed as described inTrapasso, et al., (2003) Proc. Natl. Acad. Sci. U.S.A. 100, 1592-1597)using monoclonal anti-pentaHis (Qiagen); rabbit polyclonal anti-Fhit(Zymed Laboratories Inc.); rabbit polyclonal antisera against GFP,Hsp60, Hsp10, and cytochrome c (Santa Cruz Biotechnology); rabbitpolyclonal anti-Fdxr (Abcam); monoclonal anti-CoxIV (Molecular Probes);anti-V5 (Sigma); anti-Parp1 (Santa Cruz Biotechnology); and anti-caspase3 (Cell Signaling). Protein levels were normalized relative to β-actinor/and GAPDH³ level, detected with appropriate antisera (Santa CruzBiotechnology).

Mass Spectrometry Studies—Protein pellets were solubilized and digestedby trypsin as described herein. Peptide mixtures were injected forLC-MS/MS analysis. After protein identification by data base search,inspection of LC-MS/MS data was undertaken to assess the exclusivepresence of mass peaks belonging to candidate partner proteins insamples from cells infected with AdFHIT-His6.

Protein Interaction Analyses—Proteins were extracted in 15 mM Tris-Cl,pH 7.5, 120 mM NaCl, 25 mM KCl, 2 mM EGTA, 0.1 mM dithiothreitol, 0.5%Triton X-100, 10 mg/ml leupeptin, 0.5 mM phenylmethylsulfonyl fluoride.Co-immunoprecipitation experiments, with or withoutdithiobis(succinimidyl propionate) (DSP), were performed by incubating 1mg of total proteins with Hsp60, Hsp10, Fdxr, penta-His, and V5 antiseraconjugated with Sepharose for 2 h at 4° C.; after washing, beads wereboiled in 1× SDS sample buffer and proteins separated on 4-20%polyacrylamide gels (Bio-Rad), transferred to a poly(vinylidenedifluoride) filter (Millipore), and probed with specific antisera.

Subcellular Localization of Fhit Protein—Fhit was sublocalized inponasterone A (PonA)-induced, Fhit-expressing H1299 D1 cells by indirectimmunofluorescence detection using anti-Fhit serum and by detection ofFhitHis6 in A549 AdFHIT-His₆-infected cells in immunoelectronmicrographs using anti-pentaHis. In fractionation studies, mitochondriawere isolated with the Mitochondria/Cytosol Fractionation kit and theFractionPREP™ Cell Fractionation System was used to extract proteinsfrom cytosol, membranes, nuclei, and cytoskeleton (Biovision ResearchProducts). For submitochondrial localization according to the method ofDahéron et al. (2001) Nucleic Acids Res. 29, 1308-1316, mitochondriawere resuspended in 0.1 M sodium carbonate, pH 11.5, on ice for 30 minwith periodic vortexing and fractionated as described herein.

Flow Cytometry—HCT116 FDXR^(+/+/+) and FDXR^(+/−/−) cells were infectedwith AdFHIT or AdGFP at m.o.i. 50 and 100 and assessed at 48 hpostinfection. PonA-induced H1299 D1 and E1 cells were treated with 0.25and 0.5 mM H₂O₂ or with chemotherapeutic drugs and incubated for varyingtimes, as indicated in the text and figures. For both experiments thecells were collected, washed with phosphate-buffered saline, andresuspended in cold 70% ethanol. For analysis, cells were spun down,washed in phosphate-buffered saline, and suspended in 0.1 mg/mlpropidium iodide/Triton X-100 staining solution (0.1% Triton X-100, 0.2mg/ml DNase-free RNase A) for 30 min at room temperature and analyzed byflow cytometry.

Assessment of Intracellular Reactive Oxygen Species (ROS)—Intracellularsuperoxide was measured through ethidium fluorescence as a result ofoxidation by hydroethidine (dihydroethidium-HE; Molecular Probes). MNK74stably Fhit expressing cells, A549 cells transiently expressing Fhit,and H1299 inducible Fhit expressing cells were treated with 0.5, 1.0,2.0, and 4.0 mM H₂O₂ at 37° C.; 4 h later, hydroethidine (10 μM) wasadded to cells and incubated for 15 min at 37° C. Fluorescence wasmeasured by flow cytometry. Dichlorofluorescein diacetate (DCFH-DA)(Molecular Probes) was used in D1 cells expressing induced Fhit,stressed with H₂O₂ (0.1 to 1.0 mM), treated with 10 μM DCFH-DA, andincubated for 1 h at 37° C. DCF fluorescence was measured by flowcytometry on a FAC-Scan flow cytometer and fluorescence microscopy.

Hsp60 and Hsp10 Silencing—A549 lung cancer cells at 8×10⁵/well (6 wellsplate) were transfected by Lipofectamine 2000 reagent (Invitrogen) and 6μg of Hsp60 and/or Hsp10 siRNAs (Dharmacon catalog numbers NM_(—)002156[GenBank] and NM_(—)002157 [GenBank], respectively); 48 h later cellswere infected with AdFHIT at m.o.i. 1 and collected forcytosol/mitochondria protein fractionation 24 h later. Proteins wereanalyzed by SDS-PAGE and immunoblotting; filters were probed with Hsp60,Hsp10, and Fhit antisera. Protein loading was normalized with GAPDH andCoxIV. 1×10⁶ H1299 D1 and E1 lung cancer cells were transfected asdescribed above and at 24 h after transfection the cells werePonA-induced; 48 h after induction a cycloheximide (CHX) (10 μg/ml)chase at 1, 4, 6, and 12 h was performed and the protein lysates wereanalyzed as described herein.

Real-time RT-PCR—Total RNA isolated with TRIzol reagent (Invitrogen) wasprocessed after DNase treatment (Ambion) directly to cDNA by reversetranscription using SuperScript First-Strand (Invitrogen). Targetsequences were amplified by qPCR using Power SYBR Green PCR Master Mix(Applied Biosystems). FDXR primers were: forward,3′-TCGACCCAAGCGTGCCCTTTG-5′ [SEQ ID No. 24]; reverse,3′-GTGGCCCAGGAGGCGCAGCATC-5′ [SEQ ID No. 25]. Samples were normalizedusing Actin and GADPH genes.

Chemotherapeutic Drug Treatment—Paclitaxel (Sigma) was dissolved in DMSOas a 10 mmol/liter stock solution and stored at −80° C. Cisplatin(Sigma) was dissolved in water and freshly prepared before use. H1299 D1and E1 cells were seeded (1×10⁴ cells/well) in 96-well culture plates,PonA-induced, and after 24 h treated with paclitaxel (50, 100, and 500ng/ml) or cisplatin (0.05, 0.1, and 0.2 mM). H1299 D1 and E1 cellsPonA-induced were incubated for 24, 48, and 72 h and assessed forviability with an MTS kit (Cell Titer 96® Aqueous MTS kit, UpstateBiotechnology, Lake Placid, N.Y.), as recommended by the manufacturer.

EXAMPLE II

Generation of recombinant adenoviruses—The recombinant adenoviruscarrying the wild-type FHIT cDNA (AdFHIT) was prepared as previouslydescribed (Ishii et al., 2001 Cancer Res 61:1578-1584). A His-taggedFHIT cDNA was generated by PCR with the following oligonucleotides:5′-ACgTggATCCCTgTgAggACATgTCgTTCAgATTTggC-3′ (forward) [SEQ ID NO: 26]and 5′-TTgTggATCCTTATCAgTgATggTgATggTgATgCgATCCTCTCTgAAAgTAgCCCgCAg-3′[SEQ ID NO: 27]. These primers were designed with a BamHI restrictionsite for subcloning into the transfer vector pAdenoVator-CMV5-IRES-GFP.The Ad-His6 was generated with the AdenoVator™ kit (Qbiogene, Carlsbad,Calif.), following the manufacturer's procedure. Ad GFP, used ascontrol, was purchased from Qbiogene (Carlsbad, Calif.).

Generation of a recombinant expression vector carrying FDXRcDNA—Wild-type ferredoxin reductase full-length was amplified from humanbrain cDNAs (Clontech, Palo Alto, Calif.) with primers:5′-CTgTTCCCAgCCATggCTTCgCgCTg-3′ (forward) [SEQ ID NO: 28] and5′-TCAgTggCCCAggAggCgCAgCATC-3′ [SEQ ID NO: 29]. The amplificationproducts were subcloned into the pcDNA3.1/V5-HisTOPO TA vector(Invitrogen, Carlsbad, Calif.). Sequencing excluded mutations in theamplified products.

For the preparation of a V5-tagged ferredoxin reductase cDNA, PCRamplification was performed with the same primer sequences with theexclusion of the FDXR physiological stop codon in the reverse primer.That is, both wild-type and V5-tagged ferredoxin reductase (FDXR) cDNAswere prepared by using as a template the wild-type coding sequence ofthe human ferredoxin reductase gene (GenBank Accession #NM_(—)024417).The ferredoxin reductase coding sequence was amplified from human braincDNAs (Clontech).

The primers used to generate the V5-tagged FDXR cDNA were: Forward:5′-CTgTTCCCAgCCATggCTTCgCgCTg-3′ [SEQ ID NO: 30]; and Reverse:5′-gTggCCCAggAggCgCAgCATC-3′ [SEQ ID NO: 31]. It is to be noted that theoligonucleotide sequences are identical except for the reverse primerused for the generation of the V5-tagged cDNA, where the physiologicalstop codon of the FDXR was omitted in order to fuse in frame the FDXRcoding sequence with a V5-tag.

The amplification products were subcloned into the pcDNA3.1/V5-HisTOPOTA vector (Invitrogen, Carlsbad, Calif.). Sequencing excluded mutationsin the amplified products.

In certain embodiments, the adenovirus being capable of isolatingFhit-His6, comprises an adenovirus carrying a FHIT-His6 cDNA. TheFHIT-His6 cDNA can be prepared by using as a template the wild-typecoding sequence of the human FHIT gene (GenBank Accession#NM_(—)002012). In order to introduce a polyhistidine-tag at theC-terminus of final Fhit product, a PCR amplification of the wild-typeFHIT coding sequence was carried out with a reverse primer designed toabolish the physiological stop codon and to add to the endogenous FHITsequence a stretch of 18 bp coding for six hystidines followed by anartificial stop codon. Furthermore, both forward and reverse primerscarried a BamHI restriction site for an easy subcloning. Theoligonucleotide sequences used for this amplification were thefollowing: Forward: 5′-ACgTggATCCCTgTgAggACATgTCgTTCAgATTTggC-3′ [SEQ IDNO: 26]; and Reverse:5′-TTgTggATCCTTATCAgTgATggTgATggTgATgCgATCCTCTCTgAAAgTAgACCCgCAg-3′ [SEQID NO: 27]. The PCR amplification product was sequenced to excluderandom mutations before to be cloned in an Ad5 recombinant genome(AdenoVator™, a vector purchased by Qbiogene).

In certain embodiments, a method of isolating exogenously over-expressedFhit-His6 includes using an adenovirus carrying a FHIT-His6 cDNA whereinthe Fhit-His6 is isolated through the His tag. Fhit-His6 represents therecombinant protein whose expression is driven into a mammalian cellthrough the Ad FHIT-His6 vector. The His6 epitope allows for therecovery of the recombinant Fhit-His6 protein plus the protein complexinteracting with the recombinant protein itself by taking advantage ofthe Ni-NTA system. This system is commercially available from Qiagen.Briefly, human A549 cancer cells were infected with Ad FHIT-His6;forty-eight hours after infection, photo-cross-linking of intracellularprotein complexes was performed with the cross-linkerdithiobis(succinimidyl propionate) [DSP] purchased from Pierce in orderto stabilize protein complexes in living cells. Cells were disrupted ina protein extraction buffer and Fhit-His6 protein complex was isolatedwith the Ni-NTA magnetic-bead technology by taking advantage of thegreat affinity of the His6 tag for such beads. The isolated Fhit-His6protein complex was then investigated through mass spectrometry toidentify all proteins present in the complex.

In certain embodiments, a recombinant adenovirus carrying fragilehistidine triad (Fhit) FHIT cDNA can be modified at its 3′ with asequence encoding a histidine-six epitope tag (AdFHIT-His6).

In certain embodiments, a method for mediating an apoptotic process inat least one cell, comprises exposing the cell to a fragile histidinetriad (Fhit) gene product in an amount sufficient to mediate theapoptotic process in the cell.

In certain embodiments, a method for inducing an apoptosis process in acell, comprises exposing the cell to a fragile histidine triad (Fhit)gene product in an amount sufficient to cause generation of reactiveoxygen species (ROS) in the cell.

In certain embodiments, a method for mediating an apoptotic process inat least one cell, comprising: exposing the cell to a sufficient amountof fragile histidine triad (Fhit) gene product to allow the Fhit toenter mitochondria in the cell and to interact with Fdxr protein in thecell and to cause an increase in Fdxr protein level that is associatedwith generation of ROS, and causing a change in the apoptotic process inthe cell.

It is to be noted that in previous studies, it was extensively provedthat Fhit protein overexpression in Fhit-negative cancer cells is ableto trigger programmed cell death (or apoptosis). In the instantinvention, the inventors provide a rationale about the role of Fhitprotein in the process of apoptosis. In fact, FHIT gene therapy ofcancer cells performed with Ad FHIT (at the multiplicity of infection 50or MOI50, i.e., 50 viral particles per cell) is responsible of Fhitoverexpression; then, the newly synthesized recombinant protein is takenby its interactors Hsp60/Hsp10 from the cytosol to the mitochondriawhere Fhit interacts with FDXR (ferredoxin reductase) a proteinbelonging to the respiratory chain. This interaction leads to themitochondrial generation of ROS (Reactive Oxygen Species). ROS representthe early step for the initiation of the intrinsic (or mitochondrial)pathway of the apoptotic process; in fact, they induce a damage in themitochondrial membranes that, in turn, release cytochrome c into thecytosol. This step is crucial for the execution of apoptosis, ascytochrome c contributes with other cytosolic molecules (i.e., Apaf-1and pro-caspase 3) to the generation of the apoptosome, a multiproteincomplex able to drive the cell, in a non-reversible fashion, toapoptosis.

A method commonly used to study apoptosis consists in the detection ofmature caspase-3 (an indicator of incipient apoptosis) by flowcytometric analysis (Becton Dickinson) [for reference, see Trapasso etal., 2003, PNAS, 100, 1592-1597].

In certain embodiments, a method for preparing a V5-tagged ferredoxinreductase cDNA, comprises PCR amplifying with primer sequences:5′-CTgTTCCCAgCCATggCTTCgCgCTg-3′ (forward) [SEQ ID NO: 28], and5′-TCAgTggCCCAggAggCgCAgCATC-3′ [SEQ ID NO: 29] and subcloning theamplification products pcDNA3.1/V5-HisTOPO TA vector.

Both wild-type and V5-tagged ferredoxin reductase (FDXR) cDNAs wereprepared by using as a template the wild-type coding sequence of thehuman ferredoxin reductase gene (GenBank Accession #NM_(—)024417). Theferredoxin reductase coding sequence was amplified from human braincDNAs (Clontech). That is, the primers used to amplify the wild-typeFDXR cDNA were: Forward: 5′-CTgTTCCCAgCCATggCTTCgCgCTg-3′ [SEQ ID NO:28]; Reverse: 5′-TCAgTggCCCAggAggCgCAgCATC-3′ [SEQ ID NO: 29].

The primers used to generate the V5-tagged FDXR cDNA were: Forward:5′-CTgTTCCCAgCCATggCTTCgCgCTg-3′ [SEQ ID NO: 30], and Reverse:5′-gTggCCCAggAggCgCAgCATC-3′ [SEQ ID NO: 31]. Note that theoligonucleotide sequences are identical except for the reverse primerused for the generation of the V5-tagged cDNA, where the physiologicalstop codon of the FDXR was omitted in order to fuse in frame the FDXRcoding sequence with a V5-tag.

Finally, the two products were subcloned in the pcDNA3.1/V5-HisTOPO TAexpression vector (purchased from Invitrogen) and then sequenced toassess that both products had no random mutations.

In certain embodiments, a method for generating a recombinantadenovirus, comprises preparing a recombinant adenovirus carrying thewild-type FHIT cDNA (AdFHIT); and generating a His-tagged FHIT cDNAusing PCR with the following oligonucleotides:5′-ACgTggATCCCTgTgAggACATgTCgTTCAgATTTggC-3′ (forward) [SEQ ID NO: 26],and 5′-TTgTggATCCTTATCAgTgATggTgATggTgATgCgATCCTCTCTgAAAgTAgACCCgCAg-3′[SEQ ID NO: 27]. The FHIT-His6 cDNA was prepared as described herein.The recombinant adenoviral vector Ad FHIT-His6 was prepared according tothe manufacturer's suggestions (Qbiogene). Briefly, the amplifiedFHIT-His6 PCR fragment was digested with BamHI and subcloned into theBamHI linearized transfer vector pAdenoVator-CMV5-IRES-GFP. ThepAdenoVator-CMV5-IRES-GFP/FHIT-His6 was co-transfected with the E1/E3deleted Ad5 backbone viral DNA into 293 cells. Viral plaques werescreened for the presence of the Fhit-His6 protein by Western blot withspecific penta-His antibodies (Qiagen). One positive clone wasplaque-purified and amplified on 293 cells. After freeze/thaw cycles,the adenoviruses in the supernatant were purified on two successivecesium chloride gradients. The recombinant adenovirus was titered by theTCID50 method and aliquoted. Virus stocks were stored at −80° C.Finally, the recombinant adenovirus carrying the wild-type FHIT cDNA (AdFHIT) was previously generated by Trapasso et al. 2003, PNAS, 100,1592-1597.

Mitochondrial localization studies—Confocal microscopy was used toassess Fhit protein distribution by immunofluorescence; H1299 D1 cells,with inducible FHIT cDNA, and E1 cells, with empty vector, were treatedwith PonA for 48 hr, and living cells were stained with Mitotracker Red580 (M-22425, Molecular Probes, Eugene, Oreg.) at a workingconcentration of 500 nM for 40 min under growth conditions. The cellswere fixed and permeablilized by incubation in ice-cold acetone for 5min and then washed in PBS. Cells were incubated for 1 hr with 5% BSA toblock non-specific interactions and than incubated overnight with Fhitantiserum (Zymed, S. San Francisco, Calif.) at a working concentrationof 1.6 μg/ml, washed with PBS and incubated with Alexa Fluor 488 donkeyanti-rabbit IgG (Molecular Probes). The slides were mounted in mountingmedium for fluorescence with DAPI (Vector, Burlingane, Calif.) andvisualized. For immunoelectron microscopy localization of Fhit, A549cells infected with AdHis6 or AdFHIT, MOI 5, were fixed in 4%paraformaldehyde in PBS pH7.2 for 30 min at 4° C., washed 3 times withPBS, and remaining free aldehyde groups were reduced using a 30 minincubation in 0.05% sodium borohydride in PBS. Following a PBS wash,samples were blocked with 50 mM glycine in PBS for 30 min, washed twicein PBS, and dehydrated with 25 and 50% ethanol for 15 min each, followedby 3 changes of 70% ethanol for 15 min each. The samples were theninfiltrated with 70% ethanol+LR White resin, hard grade (ElectronMicroscopy Sciences, Hatfield, Pa.) at 2:1 for 1 hr, 70% ethanol+LRWhite at 1:2 for 1 hr, 100% LR White for 1 hr and 100% LRW overnight at4° C. The following day the cells received 2 more changes of 100% LRWhite and were polymerized in gelatin capsules at 58° C. for 20-24 hr.900 nm thin section s were cut using a Reichert UCT Ultramicrotome and adiamond knife and placed on nickel grids. The grids were floated sectionside down on drops of PBS for 5 min, 5% goat serum in PBS for 1 hr atroom temperature (RT), and either Penta-His mouse monoclonal antibody at20 mg/ml (Qiagen, Valencia, Calif.) diluted in PBS containing 0.1% BSAand 0.05% Tween-20 (BSA/Tw) or BSA/Tw alone overnight at 4° C. in ahumidified chamber. The following day the grids were washed 6× for 5 mineach using PBS and then incubated with h goat anti-mouse 10 nm colloidalgold conjugate (Ted Pella, Redding, Calif.) diluted 1:10 in BSA/Tw for 2hrs at RT. The grids were washed 6× each for 5 min with PBS, rinsed withDI H2O and post-stained with 2.5% aqueous uranyl acetate for 3 min.Images were collected on a Tecnai 12 electron microscope equipped with aUS1000 Gatan 2K digital camera.

Sample digestion and LC-MS/MS analysis—Proteins isolated with Ni-NTAbeads were precipitated with cold acetone and resuspended in 6 M ureabuffered at pH 8 with 0.1 M Tris-HCl. Protein reduction and alkylationwere achieved, respectively, by the addition of DTT (final concentration10 mM, 1 hr incubation at 37° C.) and iodoacetamide (final concentration25 mM, 1 hr incubation at 37° C.). After neutralizing excessiodoacetamide with DTT (additional 5 mM), urea concentration was loweredto 1.5 M by dilution with 1 mM CaCl₂. Overnight digestion was carriedout using 50 ng of TPCK-treated trypsin (Sigma). Total digestionsolution volume was 100 μl.

Chromatography was performed on an Ultimate nano LC system from Dionex(Sunnyvale, Calif.). Digest mixtures (30 μl) were directly injected ontoa Pepmap C₁₈ RP cartridge (0.3 mm ID×5 mm length) and washed for 10minutes with H2O/trifluoroacetic acid (TFA)/acetonitrile 97.9:0.1:2(v/v/v) before the RP trap was switched on-line to a 75 μm×150 mm PepmapC₁₈ nano LC column. Gradient elution of peptides was achieved at 300nl/min using a 45-min linear gradient going from 5% B to 50% B. Mobilephase A was H2O/acetonitrile/formic acid (FA)/TFA 97.9:2:0.08:0.02(v/v/v/v); mobile phase B was H2O/acetonitrile/FA/TFA 4.9:95:0.08:0.02(v/v/v/v).

MS detection was performed on an Applied Biosystems (Framingham, Mass.)QSTAR XL hybrid LC-MS/MS operating in positive ion mode, withnanoelectrospray potential at 1800 V, curtain gas at 15 units, CAD gasat 3 units. Information-dependent acquisition (IDA) was performed byselecting the two most abundant peaks for MS/MS analysis after a fullTOF-MS scan from 400 to 1200 m/z lasting 2 seconds. Both MS/MS analyseswere performed in enhanced mode (2 seconds/scan).

LC-MS/MS Data Analysis—MS/MS spectra were searched by interrogating theSwiss Prot database on the Mascot search engine (matrixscience.com)(accessed on June 2006). The following search parameters were used. MStolerance: 50 ppm; MS/MS tolerance: 1 Da; methionine oxidized (variablemodification); cysteine carbamidomethylated (fixed modification);enzyme: trypsin; max. missed cleavages: 1.

Protein lists obtained from, respectively, both A549 infected with AdFHIT-His6 and control were compared, and proteins exclusively present inthe A549-Ad FHIT-His6 list were kept for further validation. As a firstvalidation procedure, LC-MS/MS raw data were inspected using selectedion chromatogram (SIC) displaying mode. By SIC comparison, it could beassessed the exclusive presence of the peptides of interest, identifiedas belonging to the six candidate proteins under examination, in the AdFRIT-His6 sample. Such verification step already provided rather strongevidence for the specific capture of the six candidate protein. Also,these findings were further validated by biochemical and functionalassays.

In accordance with the provisions of the patent statutes, the principleand mode of operation of this invention have been explained andillustrated in its preferred embodiment. However, it must be understoodthat this invention may be practiced otherwise than as specificallyexplained and illustrated without departing from its spirit or scope.

The references discussed herein, to the extent that they provideexemplary procedural or other details supplementary to those set forthherein, are specifically incorporated herein by reference.

What is claimed is:
 1. A method of sensitizing at least one cell to achemotherapeutic agent comprising: exposing the at least one cell to anexogenous fragile histidine triad (Fhit) gene product in an amountsufficient to sensitize the at least one cell; and thereafter,administering a chemotherapeutic agent to the at least one sensitizedcell.
 2. The method of claim 1, wherein the cell is a cancer cell. 3.The method of claim 2, wherein the cancer cell comprises one or more of:a lung cancer cell, a colon cancer cell, or a gastric cancer cell. 4.The method of claim 1, wherein the cell is a human cell.
 5. The methodof claim 1, wherein the chemotherapeutic agent comprises one or more of:paclitaxel or cisplatin.
 6. The method of claim 1, wherein the Fhit geneproduct comprises Fhit-His6.
 7. The method of claim 3, wherein theFhit-His6, comprises an adenovirus carrying a FHIT-His6 cDNA.
 8. Themethod of claim 1, wherein the Fhit gene product comprises a recombinantadenovirus carrying fragile histidine triad (Fhit) FHIT cDNA modified atits 3′ with a sequence encoding a histidine-six epitope tag(AdFHIT-His6).
 9. The method of claim 1, wherein the amount of Fhit geneproduct is administered in an amount sufficient to mediate an apoptoticprocess in the cell.
 10. The method of claim 1, wherein the amount ofFhit gene product is administered in an amount sufficient to causegeneration of reactive oxygen species (ROS) in the cell.
 11. The methodof claim 1, wherein the amount of Fhit gene product is administered to asufficient amount to: allow the Fhit gene product to enter mitochondriain the cell; interact with Fdxr protein in the cell; cause an increasein Fdxr protein level in the cell that is associated with generation ofreactive oxygen species (ROS); and/or, cause a change in an apoptoticprocess in the cell.
 12. A pharmaceutical composition for treating acancer associated disorder, comprising at least one isolated Fhit geneproduct, and a pharmaceutically-acceptable carrier.
 13. Thepharmaceutical composition of claim 12, further comprising at least onechemotherapeutic composition present in a dosage form that contacts atleast one cell at a time subsequent to the at least one isolated Fhitgene product.
 14. The pharmaceutical composition of claim 13, whereinthe chemotherapeutic composition comprises one or more of: paclitaxel orcisplatin.
 15. The pharmaceutical composition of claim 14, thepaclitaxel is present in an amount between about 50 ng/ml to about 500ng/ml.
 16. The pharmaceutical composition of claim 14, the paclitaxel ispresent in an amount of: 50 ng/ml, 100 ng/ml, or 500 ng/ml.
 17. Thepharmaceutical composition of claim 14, wherein the cisplatin is presentin an amount between about 0.05 mM to about 0.2 mM.
 18. Thepharmaceutical composition of claim 14, the cisplatin is present in anamount of: 0.05 mM, 0.1 mM, or 0.2 mM.
 19. The pharmaceuticalcomposition of claim 14, wherein the cancer comprises one or more of: alung cancer, a colon cancer, or a gastric cancer.